COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY FREE CLINIC OF DECATUR- MORGAN COUNTY INC (EIN 72-1526129)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2019-11-12
- IRS object ID
- 201933169349304038
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T14:35:30-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 631158335 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUCKER SCOTT & WATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1130 | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 356021130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721526129 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY FREE CLINIC OF DECATUR | BusinessNameLine1Txt |
| Business Name Line2 | MORGAN COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2563095617 | PhoneNum |
| Signature | 2019-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DARRELL W WATES CPA CGMA | PreparerPersonNm |
| PTIN | P00360808 | PTIN |
| Phone | 2563551828 | PhoneNum |
| Preparation | 2019-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.37.240.203 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-12 | IPDt |
| IP Tm | 14:35:30 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 801216DE3899E209AAC9DD744AD701AE27767BE2 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0F48D538BE965441044E2E44CA2EFB6B9651FDA2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JESSICA PAYNE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,958,697 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FREE, QUALITY HEALTHCARE TO LOW INCOME, MEDICALLY UNINSURED ADULT RESIDENTS OF DECATUR AND MORGAN COUNTY, THROUGH VOLUNTEERS SERVING THE COMMUNITY IN A MANNER THAT RESPECTS THE DIGNITY OF ALL PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,888,606 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,807,241 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76,790 | PYInvestmentIncomeAmt |
| CY Investment Income | $114,968 | CYInvestmentIncomeAmt |
| PY Other Revenue | $26,879 | PYOtherRevenueAmt |
| CY Other Revenue | $26,146 | CYOtherRevenueAmt |
| PY Total Revenue | $1,992,275 | PYTotalRevenueAmt |
| CY Total Revenue | $1,948,355 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $241,639 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $239,649 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,876 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,553,902 | PYOtherExpensesAmt |
| CY Other Expenses | $1,661,275 | CYOtherExpensesAmt |
| PY Total Expenses | $1,795,541 | PYTotalExpensesAmt |
| CY Total Expenses | $1,900,924 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $196,734 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,804,909 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,838,874 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,171 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,705 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,773,738 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,821,169 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,870,005 | ExpenseAmt |
| Desc | PROVIDE MEDICAL CARE TO INDIVIDUALS UNABLE TO PAY FOR IT. | Desc |
| Total Program Service Expenses | $1,870,005 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JESSICA PAYNE | PersonNm |
| Phone | 2563095617 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 245 JACKSON STREET SE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|
| PAM HOWELL | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| AMY ANDERSON | |||||
| PAST PRESIDE | Yes (X) | $0 | $0 | $0 | |
| DALE TRAMMELL MD | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| TRUDY GRISHAM | |||||
| DIRECTOR AT | Yes (X) | $0 | $0 | $0 | |
| NOEL LOVELACE | |||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ROBERT ALLEN MD | |||||
| MEDICAL DIRE | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAVID LANGSTON | |||||
| EX-OFFICIO M | Yes (X) | $0 | $0 | $0 | |
| ANNE LEDBETTER | |||||
| PRESIDENT | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HON ARTHUR ORR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| CRYSTAL BROWN | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| VENESSA EDMONDS | |||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 | |
| LEANETTE JACKSON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ANGIE SCHOEL | |||||
| TREASURER | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR ALICIA NAILS | |||||
| DENTAL DIREC | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR RUSSELL BARR | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| MICHAEL CONRAD | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $105,050 | GovernmentGrantsAmt |
| All Other Contributions | $1,702,191 | AllOtherContributionsAmt |
| Noncash Contributions | $1,588,563 | NoncashContributionsAmt |
| Total Contributions | $1,807,241 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,968 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,968 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $36,488 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $10,342 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,146 | TotalRevenueColumnAmt |
| Exclusion | $26,146 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,948,355 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $114,968 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $26,146 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,009 | TotalAmt |
| Program Services | $208,559 | ProgramServicesAmt |
| Management And General | $6,450 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,273 | TotalAmt |
| Program Services | $8,025 | ProgramServicesAmt |
| Management And General | $248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,367 | TotalAmt |
| Program Services | $15,876 | ProgramServicesAmt |
| Management And General | $491 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,317 | TotalAmt |
| Program Services | $5,591 | ProgramServicesAmt |
| Management And General | $1,864 | ManagementAndGeneralAmt |
| Fundraising | $1,862 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,537,681 | TotalAmt |
| Program Services | $1,530,393 | ProgramServicesAmt |
| Management And General | $7,288 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438 | TotalAmt |
| Program Services | $386 | ProgramServicesAmt |
| Management And General | $38 | ManagementAndGeneralAmt |
| Fundraising | $14 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,467 | TotalAmt |
| Program Services | $2,557 | ProgramServicesAmt |
| Management And General | $2,910 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,198 | TotalAmt |
| Program Services | $73,890 | ProgramServicesAmt |
| Management And General | $7,308 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
| Management And General | $99 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,139 | TotalAmt |
| Program Services | $20,146 | ProgramServicesAmt |
| Management And General | $1,993 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,936 | TotalAmt |
| Program Services | $3,582 | ProgramServicesAmt |
| Management And General | $354 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,900,924 | TotalAmt |
| Program Services | $1,870,005 | ProgramServicesAmt |
| Management And General | $29,043 | ManagementAndGeneralAmt |
| Fundraising | $1,876 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,572 | BOYAmt |
| EOY | $27,350 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,409 | BOYAmt |
| EOY | $349,233 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,493 | BOYAmt |
| EOY | $2,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $765,679 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $343,526 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,350 | BOYAmt |
| EOY | $422,153 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,021,085 | BOYAmt |
| EOY | $2,037,653 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,804,909 | BOYAmt |
| EOY | $2,838,874 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,248 | BOYAmt |
| EOY | $3,029 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,923 | BOYAmt |
| EOY | $14,676 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,171 | BOYAmt |
| EOY | $17,705 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,718,424 | BOYAmt |
| EOY | $2,775,796 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,314 | BOYAmt |
| EOY | $45,373 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,773,738 | BOYAmt |
| EOY | $2,821,169 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,804,909 | BOYAmt |
| EOY | $2,838,874 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $47,431 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,496,333 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,008,658 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,849,341 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,888,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,807,241 | CurrentTaxYearAmt |
| Total | $10,050,179 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$18,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,775 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $96,868 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,790 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $114,968 | CurrentTaxYearAmt |
| Total | $320,066 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,477,998 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,058,433 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,946,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,965,396 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,922,209 | CurrentTaxYearAmt |
| Total | $10,370,245 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $10,370,245 | PublicSupportTotal509Amt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,568 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,146 | CurrentTaxYearAmt |
| Total | $117,206 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,496,566 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,081,865 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,970,390 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,991,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,947,355 | CurrentTaxYearAmt |
| Total | $10,487,451 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98880 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $618,453 | OtherCostOrOtherBasisAmt |
| Book Value | $618,453 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,245 | OtherCostOrOtherBasisAmt |
| Depreciation | $343,526 | DepreciationAmt |
| Book Value | -$244,281 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,981 | OtherCostOrOtherBasisAmt |
| Book Value | $47,981 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $422,153 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT ACCOUNT - SANDLIN | Desc |
| Book Value | $2,037,653 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,037,653 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED VACATION | $7,012 |
| ACCRUED PAYROLL | $3,485 |
| ACCRUED RETIRMENT PAYABLE | $2,143 |
| STATE WITHHOLDING PAYABLE | $1,990 |
| PAYROLL LIABILITIES | $46 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,676 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,948,355 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,948,355 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,948,355 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,900,924 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,900,924 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,900,924 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPECIAL EVENT | Event1Nm |
| Gross Receipts Event1 | $36,488 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $36,488 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $10,342 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $36,488 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $36,488 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,342 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,342 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $26,146 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $80,000 | NoncashContributionsRptF990Amt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,061,671 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $446,892 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | PRESENTED TO THE BOARD BY INDEPENDENT CPA |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE PROVIDED UPON REQUEST |
| FORM 990, PART IX, LINE 11G | DISPENSED MEDICINES 1,052,088 0 0 DONATED SERVICES 446,893 0 0 UTILITIES 11,800 1,168 0 TELEPHONE 4,143 410 0 CLEANING AND JANITORIAL 0 4,740 0 PHARMACY SUPPLIES 3,498 0 0 REPAIRS & MAINTENANCE 7,663 757 0 CLINIC SUPPLIES 947 0 0 MISCELLANEOUS 253 25 0 DENTAL SUPPLIES 2,798 0 0 SECURITY 310 0 0 BANK CHARGES 0 188 0 TOTAL 1,530,393 7,288 0 |
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